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Genesis Obgyn Medical Group Inc.

Obstetrics & Gynecology Physician in Apple Valley, CA · enumerated 2006 · authorized official Wanda Wilburn, Owner of Medical Practice.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164517132

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Registry record

Entity type Organization (Type 2)
Legal business name Genesis Obgyn Medical Group Inc.
Practice address 16000 Apple Valley Road, Suite C3, Apple Valley, CA, 92307
Phone (760) 946-3806
Fax (760) 946-3809
Enumeration date Oct 4, 2006
Last updated in NPPES Nov 29, 2011

Taxonomy & classification

207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians · License A84253 (CA) Primary

Authorized official

Name Wanda Wilburn
Title Owner of Medical Practice
Phone (760) 946-3806

Other identifiers

Identifier Type State Issuer
00A842530 Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Genesis Obgyn Medical Group Inc.?
The NPI for Genesis Obgyn Medical Group Inc. is 1164517132, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Genesis Obgyn Medical Group Inc.?
NPPES lists Wanda Wilburn (Owner of Medical Practice) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-11-29.